Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis
We hereby report a case of infectious keratitis after laser in situ keratomileusis (LASIK) caused by Micrococcus luteus, a commensal, managed successfully in a nonimmunocompromised individual. A 25-year-old healthy male underwent uneventful bilateral simultaneous LASIK for myopia using disposable bl...
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Wolters Kluwer Medknow Publications
2019-01-01
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doaj-6917763eea9a43b4814d99b4d196cc8e2020-11-25T02:32:14ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2019-01-0112320320510.4103/ojo.OJO_54_2017Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusisMukesh TanejaVarsha M RathiBhupesh BaggaSomasheila I MurthyJatin AsharAshok Kumar ReddyPravin K VaddavalliWe hereby report a case of infectious keratitis after laser in situ keratomileusis (LASIK) caused by Micrococcus luteus, a commensal, managed successfully in a nonimmunocompromised individual. A 25-year-old healthy male underwent uneventful bilateral simultaneous LASIK for myopia using disposable blades. Postoperatively, topical antibiotic and steroids were advised; he discontinued antibiotic on his own after using for a day. On the 5th postoperative day, he had pain, redness, decreased vision, and white spot in the left eye (LE) for 1-day duration. Uncorrected visual acuity (UCVA) of LE reduced to 20/80 from postoperative 20/20. Slit-lamp biomicroscopy revealed tiny infiltrate in the interface with reticular haze in the flap and stroma. Gram-positive cocci in pairs and tetrads were found on corneal smears that were collected after lifting the flap from infiltrate, stromal bed, and undersurface of the flap. M. luteus was isolated on culture. The infiltrate resolved with scarring with intensive topical antibiotics. UCVA was 20/25. To the best of our knowledge, this is a first case report of post-LASIK infectious keratitis caused by M. luteus.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2019;volume=12;issue=3;spage=203;epage=205;aulast=TanejaInfectious keratitislaser in situ keratomileusisMicrococcus luteus |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mukesh Taneja Varsha M Rathi Bhupesh Bagga Somasheila I Murthy Jatin Ashar Ashok Kumar Reddy Pravin K Vaddavalli |
spellingShingle |
Mukesh Taneja Varsha M Rathi Bhupesh Bagga Somasheila I Murthy Jatin Ashar Ashok Kumar Reddy Pravin K Vaddavalli Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis Oman Journal of Ophthalmology Infectious keratitis laser in situ keratomileusis Micrococcus luteus |
author_facet |
Mukesh Taneja Varsha M Rathi Bhupesh Bagga Somasheila I Murthy Jatin Ashar Ashok Kumar Reddy Pravin K Vaddavalli |
author_sort |
Mukesh Taneja |
title |
Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis |
title_short |
Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis |
title_full |
Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis |
title_fullStr |
Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis |
title_full_unstemmed |
Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis |
title_sort |
micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis |
publisher |
Wolters Kluwer Medknow Publications |
series |
Oman Journal of Ophthalmology |
issn |
0974-620X |
publishDate |
2019-01-01 |
description |
We hereby report a case of infectious keratitis after laser in situ keratomileusis (LASIK) caused by Micrococcus luteus, a commensal, managed successfully in a nonimmunocompromised individual. A 25-year-old healthy male underwent uneventful bilateral simultaneous LASIK for myopia using disposable blades. Postoperatively, topical antibiotic and steroids were advised; he discontinued antibiotic on his own after using for a day. On the 5th postoperative day, he had pain, redness, decreased vision, and white spot in the left eye (LE) for 1-day duration. Uncorrected visual acuity (UCVA) of LE reduced to 20/80 from postoperative 20/20. Slit-lamp biomicroscopy revealed tiny infiltrate in the interface with reticular haze in the flap and stroma. Gram-positive cocci in pairs and tetrads were found on corneal smears that were collected after lifting the flap from infiltrate, stromal bed, and undersurface of the flap. M. luteus was isolated on culture. The infiltrate resolved with scarring with intensive topical antibiotics. UCVA was 20/25. To the best of our knowledge, this is a first case report of post-LASIK infectious keratitis caused by M. luteus. |
topic |
Infectious keratitis laser in situ keratomileusis Micrococcus luteus |
url |
http://www.ojoonline.org/article.asp?issn=0974-620X;year=2019;volume=12;issue=3;spage=203;epage=205;aulast=Taneja |
work_keys_str_mv |
AT mukeshtaneja micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis AT varshamrathi micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis AT bhupeshbagga micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis AT somasheilaimurthy micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis AT jatinashar micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis AT ashokkumarreddy micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis AT pravinkvaddavalli micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis |
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